Patient Billing & Financial Counselor I

Carle; Champaign (IL); On-site; USD 24,000 - 39,000; Full time

Job summary

Carle Health in Champaign, IL is seeking a Patient Financial Rep 1 to research, resolve, and respond to inquiries from patients, insurers, and third parties. You will explain billing steps, discuss balances due, and set up payment arrangements while protecting patient privacy.

The role requires collaboration with insurance teams and other departments to correct errors, process payments, and provide financial counseling, including charity screening and assistance applications.

Qualifications

• Certifications: , Education: , Work Experience:

Responsibilities

• Collaborate with internal departments (insurance teams, charging, collectors, financial assistance, patient care, patient access, and coding) to resolve account discrepancies.
• Researches, resolves, documents, and responds to patient account inquires generated from telephone, walk-in, virtual visits, MyCarle or written correspondence from external customers for Carle Health.
• Identifies and resolves insurance coverage errors, registration errors and billing errors to facilitate accurate and timely billing and payment processing.
• Identifies and reports account corrections needed for guarantor number changes (GNC's) double registrations, and other account build issues in the practice management system.
• Resolves patient underpayments, no payments, overpayments and undistributed payments for proper allocation.
• Process one-time payments and set up payment plans in accordance with hospital guidelines.
• Performs financial counseling, conducts charity screening through Experian, and assists patients in the process of applying for Carle Financial Assistance program.
• Responsible for cash drawer balancing and daily deposit.
• Maintain confidentiality and comply with HIPAA regulations. This includes reporting potential HIPAA breaches and Identity Theft.
• Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
• Provides customer service for patients and insurance companies on conference calls.
• Identify problem accounts and elevate as appropriate.
• Responsible for meeting and exceeding departmental productivity quality assurance standards, and service excellence.
• Provide excellent customer service.
• Performs other duties as assigned.

Job description

Carle Health in Champaign, IL is seeking a Patient Financial Rep 1 to research, resolve, and respond to inquiries from patients, insurers, and third parties. You will explain billing steps, discuss balances due, and set up payment arrangements while protecting patient privacy.

The role requires collaboration with insurance teams and other departments to correct errors, process payments, and provide financial counseling, including charity screening and assistance applications.